So here are some issues that need discussing: having absolutely no rationing of care whatsoever is economically infeasible, providing some level of care to all citizens provides a healthier more productive workforce that reduces uncompensated ER care, any insurance (especially health insurance) functions under principals of socialism, a single payer system gives consumers (i.e. patients) the most bargining power and allows them to dictate prices set by producers (i.e. health care providers).